Care Home: Linson Court Nursing Home

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What the care home does well Positive feedback was received from people who live at the home. One lady said although there is no place like home she feels well looked after at Linson Court. Peoples` bedrooms were personalised making it feel more homely with their personal possessions and family photographs around them. People said there are no restrictions put upon them in respect of how they live their lives. One gentleman said he chooses when to go to bed and when to get up and chooses from a range of choices at mealtimes. The atmosphere at the home is warm and friendly and visitors are made to feel welcome. The staff show respect to people living at the home and were observed being kind and courteous throughout the day. One relative who completed a CSCI survey said, "I have nothing but praise concerning the staff and the care received by my Uncle. It was second to none." What has improved since the last inspection? The home has purchased two 42 inch digital plasma televisions in the communal lounges, providing great sound and vision for people who enjoy watching television. People now have a digital radio enabling them to listen to their favourite radio programme in the privacy of their own room. Touch lamps have been provided in each of the bedrooms making it easy for people to have bedside lighting, as they require it. What the care home could do better: Care plans should include peoples preferred routines including how they like to spend their time to ensure they get the right level of care and support they require. Nursing staff should ensure that they open all packages in which medication is supplied to ensure the correct amount has been delivered and that the medication records are correct with the supplies in place. A review of mealtimes and the presentation of food should take place to make sure people receive appealing and nutritious food in pleasant surroundings. Quality assurance reports/findings should provide evidence that people`s comments have been listened to and acted upon in order to improve outcomes for people living at the home. CARE HOMES FOR OLDER PEOPLE Linson Court Nursing Home Dark Lane Wellington Street Batley West Yorkshire WF17 5RU Lead Inspector Tracey South Key Unannounced Inspection 09:25 14th January 2008 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Linson Court Nursing Home Address Dark Lane Wellington Street Batley West Yorkshire WF17 5RU 01924 445253 01924 472461 linsoncourt@orchardcarehomes.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Tri-Care Ltd Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Terminally ill over 65 years of age (2) of places Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One of the above TI(E) may be used for the named person - category TI for the duration of their accommodation in the home 8th January 2007 Date of last inspection Brief Description of the Service: Linson Court is owned and managed by Tri-Care Ltd. Linson Court is a large, detached, purpose built care home providing nursing care for up to 40 older people. All rooms are single and en-suite. Garden and patio areas are located at the rear of the building and there is parking within the grounds. The home is situated just outside Batley town centre and is well served by the local bus service, the nearest bus stop being approximately 200 yards away. All local shops and amenities are within 10 - 15 minutes’ walking distance. The inspector was informed on 14th January 2008 that fees range from £360.99 to £675 per week. Additional charges are made for hairdressing, chiropody, toiletries and newspapers. The service provider ensures that information about the service is available to in the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. Copies of these documents are available in the front entrance of the home. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection included an unannounced visit carried out to the home by the inspector on the 14th January 2008. The visit began at 09.25am and the inspector left the home at 4.55pm. During the visit the inspector spoke with some of the people who live at the home, nursing staff, a visiting Internal Verifier for NVQ (National Vocational Qualification) training and the acting manager. Care records were examined and the inspector audited a sample of medications, reviewed staff recruitment records, and looked around the home. The acting manager at the home also completed an annual quality assurance assessment that was requested by CSCI (Commission for Social Care Inspection), which includes information about people who live at the home, the staff that work there, the service provided and any incidents or accidents that have occurred. Prior to this visit, surveys were sent out to obtain the views of people who live at the home, their relatives and doctors. Ten surveys were sent out to people living at the home, two were returned. Ten surveys were sent out to relatives, one was returned. Three surveys were sent to people’s doctors, one was returned. Comments from surveys have been included in the main body of this report. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. What the service does well: Positive feedback was received from people who live at the home. One lady said although there is no place like home she feels well looked after at Linson Court. Peoples’ bedrooms were personalised making it feel more homely with their personal possessions and family photographs around them. People said there are no restrictions put upon them in respect of how they live their lives. One gentleman said he chooses when to go to bed and when to get up and chooses from a range of choices at mealtimes. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 6 The atmosphere at the home is warm and friendly and visitors are made to feel welcome. The staff show respect to people living at the home and were observed being kind and courteous throughout the day. One relative who completed a CSCI survey said, “I have nothing but praise concerning the staff and the care received by my Uncle. It was second to none.” What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are properly assessed prior to moving into the home to ensure that their needs can be met. EVIDENCE: Information provided by the acting manager prior to this visit taking place indicates that people are able to visit the home without the need for an appointment prior to them or their relative moving in. Pre-admission assessments are carried out either by the acting manager or deputy managers who visit the person at their own home or in hospital which ever is applicable at the time. Community Care Assessments are obtained from the funding authority, these outline the person’s current health and personal care needs. The information collated from visiting people and that supplied by the funding authority is taken into consideration when making a decision as to whether the home is able to meet the person’s needs. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 9 There was evidence in three peoples’ care records to confirm that their needs were properly and thoroughly assessed prior to being offered a place at the home. People who completed the CSCI’s surveys confirmed that they received enough information about the home before they moved in. The manager explained that due to peoples’ frailty it is usually relatives who visit the home to see if it meets their expectations as far as being the right type of home for their loved one. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Peoples’ care plans are detailed and outline the level of support and care each person requires in ensuring their health and welfare needs will be met. Medication systems are well managed although staff could be more thorough when recording medication received in the home. People’s rights to privacy and dignity are supported by caring staff. EVIDENCE: Three people’s care plans were looked at in order to obtain a picture of what their needs are and how staff support them. The care plans provide a good level of detail and enable staff to deliver the right level of care to each person. They could be further improved by including peoples’ preferred routines and how they like to spend their time, as there was very little evidence of this in any of the three care plans examined. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 11 Relatives are asked to complete the life history section of the care plan and this information is beneficial in terms of getting an insight into the kind of hobbies, leisure past times and significant events that make up this person’s life. Having this information helps staff to see the person as an individual in their own right and to engage people in things they are interested in such as a past hobby or a particular talking point. The majority of care plans are written without involving the individual and further progress could be made to involve people to have more input in the writing up of their care plans. Risk assessments are carried out to identify any risks to the individual. Where a risk has been identified, a care plan is produced to minimise the risk. The acting manager was advised to up date one person’s care plan where a risk assessment had not been implemented regarding the use of bed rails. Manual handling plans used to identify the support people require with their mobility describe in detail the assistance required so staff are clear about what is expected from them. There was good evidence in peoples’ care records to indicate that they are able access health care services, such as the dentist, chiropody, opticians and everyone living at the home is registered with a doctor. The survey returned by people’s doctors indicate that health care needs are being met. Those people spoken with during this visit said that staff are good at getting the doctor when you need one. One person said he attends regular visits as an outpatient at the local hospital. He said that staff go with him when he has an appointment. One GP completed a survey for the CSCI and gave positive feedback about the home, this GP feels that the home ‘always’ meets peoples’ care needs and respects individuals’ privacy and dignity. A sample of three people’s medication was checked during the visit. This showed there to be good systems in place for the recording, storing, administration and disposal of medications. The medication record sheets were neat, tidy and easy to follow. Controlled drugs are stored and administered properly. It was noted however that staff are signing to say that the have checked the amount in stock but some of the boxes were still sealed and therefore staff can not be sure that the correct amount has been sent by the Pharmacy. The acting manager said she would speak to the nursing staff about this as a matter of urgency. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are able to make their own choices about how they spend their time and are offered activities. Improvements are required to ensure people receive a varied, appealing and nutritious diet in pleasant surroundings. EVIDENCE: The home has an ‘activities plan’ displayed in the front entrance of the home so visitors can see the type of activities available to people on a daily basis. Typical activities that take place range from playing skittles, dominoes, watching DVDs, reminiscence, quizzes, and playing ball games. One person spoke to the inspector about having broadband fitted in his room enabling him to gain easy access to the Internet. He explained how the staff at the home have helped him with this and he is looking forward to being ‘on-line’ within the next couple of weeks. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 13 People spoke of how they are able to make their own choices such as when they get up and go to bed, the meals they eat and generally how they spend their time. One person said they enjoy going out shopping although there aren’t always enough staff on duty for this to happen on a regular basis. Another person said he enjoys the fact that his wife is able to come and spend time with him and he is grateful for this. Two people who completed surveys felt that activities ‘usually’ or ‘sometimes’ take place that they are able to take part in. A number of people, who spoke with the inspector said they prefer to stay in their own rooms and watch television, listen to their wireless or read a book. Visitors are welcome at the home at any reasonable time and the manager explained that relatives/friends are able to have a meal with their loved ones if they choose to. The visitors’ book gives a good indication that the home receives a number of visitors on a daily basis. One relative who returned a survey to the CSCI wrote to say that their Uncle had lived at the home for over two years and that they had nothing but praise for the staff and that the care received was second to none. The majority of people who spoke with the inspector said they like the meals on offer, although some felt the way they are presented could be improved. Staff were observed serving lunches to people. Some people were taken to the dining table at least fifteen minutes before lunch was served. Two people had fallen asleep by the time their meal arrived. There was very little atmosphere in either of the dining rooms with very little conversation taking place from anyone. There is room for improvement in respect of the presentation of meals; most people were served lunch on a side plate rather than a dinner plate which looked over loaded. Table settings could be improved by providing tablecloths, condiments and serviettes other than providing each person with just one serviette each. Whilst looking around the home and speaking to people along the way, one person told the inspector that she still hadn’t received her lunch; it was then 12.50pm and lunch is usually served around 12.15pm. This was the same for another person who was also waiting for her lunch to be brought to her bedroom. One person said she is never quite sure what time to expect her meal. Discussions took place with the acting manager and it was agreed that mealtimes and the manner in which meals are provided to people needs reviewing. This is to ensure that people are served their meals in pleasing surroundings at times convenient to them. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: People who completed surveys responded ‘yes’ when asked if they knew how to make a complaint. Those people spoken with during the day also confirmed they knew who to go to if they were unhappy about something. The home has received five complaints within the last twelve months. The complaints procedure is displayed in the front entrance of the home. It is also available in the home’s statement of purpose. The manager keeps a log of any complaints received and there was good evidence that peoples’ concerns had been taken seriously and the appropriate action had been taken to resolve the matter wherever possible. There were a number of ‘thank you’ cards displayed in the front entrance of the home. The cards were from relatives of people who once lived at the home who were thanking the staff for their care and kindness during their loved ones stay at the home. There are policies and procedures in place to reduce this risk of abuse. All staff commencing employment have a CRB (Criminal Records Bureau) and a POVA Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 15 (Protection of Vulnerable Adults) check before starting work in the home. All staff have received safeguarding (adult protection) training which provides information on how to protect people from abuse. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home offers people a homely, comfortable and clean environment. EVIDENCE: Linson Court is a purpose built home with all bedrooms offering ensuite facilities. All bedrooms have a television, digital radio and a touch lamp. Each communal lounge has a 42 inch digital plasma television making easy viewing for those people who may have sight problems. Photographs of the local area, that is Batley, are placed in the hall and corridors to provide a focus for reminiscence and discussion. At the rear of the home there is an enclosed patio and small garden that makes a pleasant area for people to sit out in the warmer months of the year. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 17 There is a rolling programme of maintenance, which takes place as and when areas are identified as needing upgrading. The atmosphere on the day of the visit was warm and friendly and people looked comfortable whilst sitting in various parts of the home. The home was clean and tidy and there were no unpleasant odours noted in any areas of the home. Those people who spoke with the inspector were happy with their rooms. They explained how they had been able to bring in their own personal possessions making their room feel more homely and personalised. One person said she loves her room as she is able to look out over Batley and can see her own house where her husband still lives. People who completed surveys said the home is ‘always’ fresh and clean. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s needs are met by trained staff who have undergone a thorough recruitment process before they are allowed to work in the home. EVIDENCE: The duty rota confirmed there to be two nurses and seven care staff on duty during the day (most staff work 12 hour shifts that is 7.30am until 7.30pm) and one nurse and three care staff who work during the night (7.30pm until 7.30am). Care staff are supported by domestic, laundry and kitchen staff. The manager’s hours are supernumerary. There is 66 of the care staff who have either achieved an NVQ (National Vocational Qualification) level 2 in care. A further four staff are currently working towards their qualification. And four staff are working towards NVQ level 3. The Internal Verifier who oversees the assessment of NVQ work visited on the day of the inspector’s visit and said that the home is committed in achieving NVQ qualifications amongst the care staff. The recruitment files of three members of staff were audited in detail and found to contain the required information and recruitment checks. These checks are necessary to help protect people from potentially unsuitable staff. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 19 The manager explained that all new staff receive induction and mandatory training in accordance with Skills for Care, the National Training Organisation for care staff. All new staff work alongside more experienced staff as part of their induction. The manager has undertaken ‘train the trainer’ and is able to provide training to staff in-house, she feels this is beneficial in terms of staff receiving the right level of training early on in their induction. Information about training courses undertaken by staff is stored on the home’s computer, staff receive mandatory training such as manual handling, fire, food hygiene, safeguarding and health and safety. The inspector examined three staff files to look for evidence of training certificates to marry up the information on the database. Two out of the three files did not contain the correct number of training certificates. The acting manager was advised to keep copies of all training certificates as evidence that training has been completed. She was also advised to keep a copy of the attendance sheet when training has taken place and who attended. The reason for this was because it was not always clear as to when training had taken place and some people appeared to have received a number of training sessions on one day. The acting manager said that the dates referred to when the training had been entered onto the computer. Some certificates did not have the date on which the training took place and this needs to be addressed. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health, safety and welfare of people living at the home and staff is promoted and protected. EVIDENCE: Ms Paula Pearson is the acting manager at Linson Court. An application has been submitted to the CSCI for Ms Pearson to become the registered manager. She has a number of year’s experience of working with older people in nursing home settings. Ms Pearson has been acting manager since June 2007 and she has completed NVQ level 4 and plans to commence the Registered Manager’s Award in the near future. Ms Pearson is a registered nurse and qualified in 1992. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 21 Ms Pearson is keen to promote and provide good quality care to vulnerable people. She has a good rapport with people living at the home, who spoke very highly of her. People said that she is very approachable, kind and caring. Ms Pearson shows a clear sense of direction in terms of how she wants the home to progress. She operates an ‘open door’ policy where she welcomes ideas from staff and values the opinions from people living at the home and their relatives on how the home can improve. ‘Resident and Relatives’ meetings take place at the home four times a year. The purpose of these meetings is to give people a say in how the home is managed and to plan and discuss future events etc. In addition to this customer surveys are sent out twice yearly. Reports on the findings of these surveys should be made available to interested parties and should outline the homes strengths and weaknesses to show that the company values the opinions of those who are involved in this service. The latest report to be produced was examined; it did not include how the company plan to improve services in accordance with people’s comments. For example the report included such comments as, “no chairs for visitors”, “there doesn’t appear to be enough encouragement to residents to join in activities” and “I’m not always told when the doctor has been called for my relative”. This needs to be addressed so people know that their comments are listened to and acted upon. Some people have small amounts of personal money that is held safely at the home by staff. Records are available to show when money is deposited on behalf of people. The records show the individual cash balance for each person and how their money is used on their behalf, including receipts for goods and items purchased. Three peoples’ finances were checked during the visit and were found to be correct. The home’s quality assurance assessment indicates that routine maintenance and servicing of equipment takes place. The home carries out weekly fire safety checks and these are recorded and staff are involved in fire drills periodically to ensure they know what to do in the event of a fire. Accident reports are completed and audited on a monthly basis by the acting manager identifying any trends that may be apparent and taking the necessary action. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Care plans should include peoples preferred routines including how they like to spend their time. Care plans should be written with the involvement of the individual to ensure that people have an input into the type of care they want and need. Nursing staff should ensure that they open all packages in which medication is supplied to ensure the correct amount has been delivered to ensure the amount in stock is a true record. A review of mealtimes, presentation of food and the environment should take place to make sure people receive appealing and nutritious food in pleasant surroundings. Training certificates should be kept in staff files as evidence that they have undertaken specific training course. Training certificates should include the date in DS0000001088.V357848.R01.S.doc Version 5.2 Page 24 2 OP9 3 OP15 4 OP30 Linson Court Nursing Home 5 OP33 which the training was delivered. Quality assurance reports/findings should provide evidence that people’s comments have been listened to and acted upon in order to improve outcomes for people living at the home. Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Linson Court Nursing Home DS0000001088.V357848.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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